摘要
结直肠息肉的早期发现和及时治疗是降低结直肠癌发病率和死亡率的有效手段。内镜下圈套器冷切除术(CSP)在结直肠息肉治疗中发挥着重要作用,但是目前国内尚无规范化治疗的相关共识。2023年,中华医学会消化内镜学分会组织全国领域内权威专家讨论,结合国内外最新循证医学证据,形成了中国结直肠息肉冷切专家共识,以期规范该技术在结直肠息肉中的应用。本共识意见包括:适应证选择、操作步骤规范化、安全性评价、标本处理及术后管理等5个部分,共18条陈述。
Abstract
Early detection and prompt treatment of colorectal polyps are effective for reducing the incidence and mortality of colorectal cancers.Endoscopic cold snare polypectomy (CSP) plays an important role in the treatment of colorectal polyps.However, no specific consensus on CSP procedure has been published in China. In 2023, Based on the latest domestic and foreign evidence-based evidence, authoritative experts in the field all over the country under the leadership of Chinese Society of Digestive Endoscopology conducted a comprehensive discussion and proposed the consensus, to serve as a tool for Chinese endoscopists to standardize CSP procedure for colorectal polyps.There are five parts in the consensus, with 18 recommendations, including selection of indications, standardization of CSP procedure, evaluation of safety, processing of specimen, and post-procedural management.